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done very rapidly, 15-20 patients passing through in about 30-45
minutes. It is attended with no suffering for the patients, and has
come to be looked upon by them as part of the routine ante-natal
examination to which all must submit.
To estimate the value of this routine testing is difficult, but
I have always noted that the positive results which appear are
nearly without exception in patients with no suspicious history,
e.g. repeated miscarriages, which would have pointed to the necessity
of having the test done.
As a gynaecological diagnosis and treatment clinic, this is, I
think, the only such centre in Battersea, and in my opinion forms
an integral and very important part of the ante-natal scheme.
During 1933, 128 cases attended this clinic for gynaecological examination,
these cases being referred entirely from the Borough antenatal,
post-natal and welfare centres. At this clinic, discharges
complicating pregnancy are investigated, if necessary by film
examination; treatment is given, uterine displacements are
corrected, and where necessary, cases are referred to hospital, often
to my own out-patient or in-patient beds at the South London
Hospital.
It is my opinion that, even if it were decided to abandon the
routine blood-testing, some provision would always have to be made
for a clinic of this sort.
Wednesday and Thursday Morning Clinics.—Ante-Natal.—
Number of sessions held, 104; total attendances, 3,115; average
attendance per clinic, 30; new cases: primiparae 227, multipara
235; not pregnant 1—463. Return cases, 113, i.e. 48 percent.
of possible patients.
Period of pregnancy when patient first seen:—Months: 1 to 6—
389 (84.2 per cent.); 6 to 8—68 (14.7 percent.); 8andover—5 (1.1
per cent.).
Abnormal cases attending the clinics, especially:—Albuminuria,
44; cardiac disease, 4; referred to Tuberculosis Dispensary
for opinion re chest condition, 6; small pelvis, 16; other, including
high blood pressure, varicose veins, skin conditions, etc., 26.
Cases referred for special examination or treatment:—To
Tuberculosis Officer, 6; to Dentist, 155; to private Doctor, 6; to
other hospitals (excluding cases referred to Mr. Roques for
opinion), 3.
Cases requiring admission to Battersea Maternity Home during
ante-natal period, for examination, treatment, etc., 28.
Friday Morning Clinic.—-Number of sessions held, 51; total
attendances, 916; average attendance per clinic, 18. New cases:
primiparae 103, multiparae 171, not pregnant 1—275. Return
cases, 69, i.e. 40 per cent. of possible patients.
Period of pregnancy when patient first seen:—Months: 1 to 6
223 (81.4 per cent.); 6 to 8, 43 (15.7 per cent.); 8 and over,
8 (2.9 per cent.).